ASCENSION PROVIDENCE HOSPITAL

$2.51M

Total Medicaid Paid

97,031

Total Claims

90,557

Beneficiaries

51

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		11,266	10,898	$513K
93306		12,152	12,069	$481K
99232		7,361	3,085	$284K
99223	Prolong inpt eval add15 m	2,360	2,297	$236K
99204		3,299	3,288	$233K
99213		5,941	5,790	$182K
78452		2,375	2,357	$107K
99222		1,256	1,235	$89K
93350		1,610	1,599	$62K
99233	Prolong inpt eval add15 m	924	540	$56K
93016		4,181	4,149	$48K
93010		10,300	10,166	$41K
93018		4,500	4,463	$34K
93308		1,881	1,734	$26K
99215	Prolong outpt/office vis	327	317	$23K
93320		1,983	1,963	$20K
93458		134	132	$20K
99203		397	394	$17K
93325		3,193	3,114	$6K
99205	Prolong outpt/office vis	53	53	$5K
93321		1,103	1,048	$4K
93272		233	232	$3K
99221		57	57	$3K
99202		88	87	$3K
99231		108	72	$2K
99212		126	116	$2K
93298		119	118	$2K
G0463	Hospital outpt clinic visit	38	34	$2K
99152		196	190	$1K
99441		36	36	$1K
93000		106	103	$819.69
99442		15	14	$619.81
G2211	Complex e/m visit add on	296	292	$594.41
93227		24	24	$291.36
G8420	Calc bmi norm parameters	968	944	$0.00
1126F		1,326	1,305	$0.00
3079F		463	462	$0.00
1036F		1,498	1,459	$0.00
3075F		70	70	$0.00
3008F		1,671	1,634	$0.00
3074F		1,215	1,191	$0.00
1034F		190	185	$0.00
99406		137	119	$0.00
3080F		33	32	$0.00
G8417	Calc bmi abv up param f/u	7,803	7,534	$0.00
3078F		1,047	1,028	$0.00
1160F		1,106	1,086	$0.00
1159F		1,106	1,086	$0.00
3725F		231	228	$0.00
3077F		117	116	$0.00
93005		12	12	$0.00

Medicaid Provider Spending